Home Practice Platform Please complete the following intake form. Name * First Name Last Name Have you practiced yoga before? * You do not need to have done yoga before to participate in my program, but this helps me understand how I can ensure the class has variations and options that best meet your physical needs. If so, how would described your practice? Regular, adhoc etc.? * This question is trying to understand if your advanced in your practice (and therefore your body is able to do a stronger practice), a beginner or somewhere in between. Enrolment Agreement Exercise and health are matters that vary from person to person. You should understand that when participating in any exercise or exercise program, there is the possibility of physical injury. If you engage in this exercise or exercise program, you agree that you do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself, and agree to release and discharge Zoe Blakeney of Bella Mama, all its instructors, commentators and any associated from any and all claims or causes of action, known or unknown. You should always consult a physician before starting a fitness program or changing your diet. Not all exercises, nutrition programs or activities are suitable for everyone. All information contained in my classes is not intended to be a substitute for professional training, nutrition, diet, health, wellness, fitness, training tips, eating disorders, related issues or any other form of advice. When in doubt, consult your primary care physician, registered dietician or another certified professional. Yes, I agree to the terms outlined. No thank you I don't want to proceed. Thank you for your enrolment.